Differential diagnosis
Differential diagnosis
The differential diagnosis of acute pancreatitis includes:
- acute myocardial infarction
- cholangitis
- cholecystitis
- diabetic ketoacidosis
- gastric outlet obstruction
- intestinal infarction
- pancreatic cancer
- perforated peptic ulcer
Other causes of raised serum amylase are:
- renal failure
- macro-amylasaemia
- diseases of the salivary glands
- extra-pancreatic abdominal diseases associated with inflammation
- e.g. - acute appendicitis, cholecystitis, intestinal obstruction or ischemia, peptic ulcer, and gynaecological diseases
Reference:
- Mederos MA, Reber HA, Girgis MD. Acute Pancreatitis: A Review. JAMA. 2021 Jan 26;325(4):382-90.
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